MRS. ROSALIE ADAM JORDAN MA RN LPCC NPI 1184651002

NPI Information

NPI: 1184651002
Provider Name: MRS. ROSALIE ADAM JORDAN, MA RN LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
320 OSUNA RD NE STE H4
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 345-2778
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MRS. Rosalie Adam Jordan, MA RN LPCC is a mental health counselor in Albuquerque, NM. MRS. Rosalie Adam Jordan, MA RN LPCC NPI is 1184651002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

320 OSUNA RD NE STE H4
ALBUQUERQUE, NM
ZIP 87107-955
Phone: (505) 345-2778
Fax: (505) 345-2878

The enumeration date for this NPI number is 6/27/2006 and was last updated on 6/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0106	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NM100011	OTHER	NEW MEXICO	VALUE OP
2	18593	OTHER	NEW MEXICO	PHP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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